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1
A case of atypical aortic coarctation with refractory congestive heart failure--treatment with axillo-iliac artery bypass.一例伴有难治性充血性心力衰竭的非典型主动脉缩窄——腋-髂动脉搭桥治疗
Clin Cardiol. 1998 Jul;21(7):523-4. doi: 10.1002/clc.4960210714.
2
Atypical aortic coarctation with resistant hypertension treated with axilloiliac artery bypass.采用腋髂动脉旁路移植术治疗的非典型主动脉缩窄合并顽固性高血压
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Successful surgical treatment by extraanatomic bypass grafting of a pseudoaneurysm of anastomosis after aortic replacement for coarctation complicated by septic aortitis.主动脉缩窄合并感染性主动脉炎行主动脉置换术后，采用解剖外旁路移植术成功治疗吻合口假性动脉瘤。
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4
Descending thoracic aorta-abdominal aortic bypass and bilateral renal arterial blood circulation reconstruction are effective in atypical coarctation of the aorta with heart failure: a case report.降胸主动脉-腹主动脉旁路术和双侧肾动脉血液循环重建对心力衰竭不典型主动脉缩窄有效：一例报告。
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Axillo-iliac artery bypass for recurrent aortic coarctation to reduce cardiac afterload.腋-髂动脉旁路移植术治疗复发性主动脉缩窄以降低心脏后负荷。
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Atypical proximal coarctation of the aorta: reconstruction by means of a heparin-coated temporary shunt bypass.非典型主动脉近端缩窄：采用肝素涂层临时分流旁路进行重建。
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8
[Axilla-iliac bypass in a patient with aortic obstruction progressed from atypical coarctaion].[一名主动脉梗阻由非典型主动脉缩窄进展而来的患者行腋-髂动脉搭桥术]
Nihon Kyobu Geka Gakkai Zasshi. 1989 Aug;37(8):1577-80.
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Surgical treatment for isolated coarctation of the aorta in an adult patient.
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A case of aortitis syndrome with severe coarctation of the aorta.一例伴有严重主动脉缩窄的大动脉炎综合征病例。
Angiology. 1985 Mar;36(3):197-200. doi: 10.1177/000331978503600309.

引用本文的文献

1
A New Extra-anatomical Bypass for Atypical Aortic Coarctation with Porcelain Aorta: Reno-iliac Arterial Bypass.一种用于伴有瓷化主动脉的非典型主动脉缩窄的新型解剖外旁路术：肾-髂动脉旁路术。
Ann Vasc Dis. 2009;2(3):174-7. doi: 10.3400/avd.AVDcr080031. Epub 2010 Mar 29.

本文引用的文献

1
[Surgical management of aortitis syndrome associated with aortic coarctation].
Nihon Kyobu Geka Gakkai Zasshi. 1983 Nov;31(11):2064-8.
2
Coarctation of the abdominal aorta.腹主动脉缩窄
Ann Vasc Surg. 1988 Apr;2(2):138-44. doi: 10.1016/S0890-5096(06)60796-6.
3
Axillofemoral bypass: outcome and hemodynamic results in high-risk patients.腋股动脉搭桥术：高危患者的治疗结果及血流动力学结果
J Vasc Surg. 1992 Jun;15(6):952-62; discussion 962-3.

一例伴有难治性充血性心力衰竭的非典型主动脉缩窄——腋-髂动脉搭桥治疗

A case of atypical aortic coarctation with refractory congestive heart failure--treatment with axillo-iliac artery bypass.

作者信息

Nakao K, Shibata J, Kikutake S, Nagata T, Uraguchi K, Hidaka Y, Imaizumi T

机构信息

Division of Cardiology, Yame General Hospital, Japan.

出版信息

Clin Cardiol. 1998 Jul;21(7):523-4. doi: 10.1002/clc.4960210714.

DOI:10.1002/clc.4960210714
PMID:9669063
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC6655451/
Abstract

Coarctation of the aorta is rare. We present a case of atypical coarctation due to aortitis syndrome with congestive heart failure refractory to conventional medical treatment. Although indications for surgical treatment are not well established and, in general, treatment of choice is an aorto-aortic bypass, we selected axillo-iliac bypass with subcutaneous tunnel because of severe heart failure. Postoperatively, the pressure gradient disappeared and heart failure was improved.

摘要

主动脉缩窄较为罕见。我们报告一例因大动脉炎综合征导致的非典型主动脉缩窄病例，该患者伴有对传统药物治疗无效的充血性心力衰竭。尽管手术治疗的指征尚未明确确立，且一般而言，首选的治疗方法是主动脉 - 主动脉旁路移植术，但由于严重心力衰竭，我们选择了经皮下隧道的腋 - 髂动脉旁路移植术。术后，压力梯度消失，心力衰竭得到改善。